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Washington rates for HCPCS 75574

Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.37 / $209.83 / $408.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.79 / $372.31 / $883.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.00 / $127.38 / $317.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.86 / $266.22 / $443.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.44 / $539.92 / $611.91
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.55 / $194.40 / $301.07
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.89 / $167.89 / $167.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $1,056.00 / $1,056.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.80 / $817.81 / $2,483.33
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.31 / $266.55 / $925.20
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$310.00 / $542.91 / $1,773.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.47 / $709.85 / $1,145.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.32 / $203.56 / $355.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.31 / $519.60 / $803.95
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.71 / $254.79 / $539.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.85 / $852.08 / $1,487.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.74 / $236.61 / $309.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$321.77 / $615.47 / $1,232.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.59 / $274.36 / $658.21
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$183.70 / $222.12 / $226.46
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.29 / $140.29 / $140.29
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$145.34 / $196.47 / $238.29
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$356.32 / $493.00 / $641.52
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.30 / $151.30 / $152.63
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.89 / $782.19 / $1,001.46
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.21 / $258.52 / $313.56
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.68 / $517.52 / $698.58
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $346.39 / $851.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.31 / $685.08 / $1,025.36
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.31 / $230.18 / $309.02
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$310.00 / $459.90 / $712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.75 / $547.03 / $1,001.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.77 / $126.95 / $319.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$207.98 / $415.97 / $692.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.67 / $372.67 / $372.67
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.82 / $117.82 / $117.82
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$254.85 / $254.85 / $254.85